营养疗法用于预防重症监护后综合征
Taku Oshima1,2, Junji Hatakeyama3
1Institute for Advanced Academic Research, Chiba University, 1-33 Yayoi-Cho, Inage-Ku, Chiba-Shi, Chiba, 263-8522, Japan. t_oshima@chiba-u.jp.
Journal of intensive care
|July 29, 2024
概括
后重症监护综合征 (PICS) 和重症监护所获得的虚弱 (ICU-AW) 影响患者的康复. 营养治疗,重点关注足够的蛋白质,避免过度养,以及物理治疗,可以减轻这些关键护理并发症.
科学领域:
- 临界护理医学 临界护理医学
- 临床营养学 临床营养学
- 康复 康复 康复 康复
背景情况:
- 后重症监护综合征 (PICS) 包含在重症监护室 (ICU) 住院后出现的身体,认知和精神障碍.
- 系统性炎症,营养不良和不运动是导致ICU-AW和PICS的关键因素.
- 有效的营养治疗对于患者的生存,炎症反应管理和器官功能障碍恢复至关重要.
研究的目的:
- 探索营养治疗在预防ICU-AW和重症监护后综合征 (PICS) 中的作用.
- 为重症患者确定最佳的食策略,以改善结果.
主要方法:
- 对营养治疗和其对ICU-AW和PICS的影响的当前文献的综述.
- 分析养策略,包括蛋白质的管理和能量平衡.
- 考虑辅助疗法,如物理治疗.
主要成果:
- 建议适当的蛋白质和氨基酸管理,特别是在超急性阶段之后,以防止ICU-AW.
- 在营养管理中,避免能量过度养至关重要.
- 物理治疗在减轻肌肉损失和身体损伤方面发挥着作用.
结论:
- 营养治疗,当用足够的蛋白质和可控的能量仔细实施时,可以帮助预防ICU-AW和PICS.
- 需要进一步的研究,以充分阐明营养疗法的最佳方法和潜力,以管理这些疾病.
- 结合营养和物理治疗的综合方法对于全面的患者康复至关重要.
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